Individual
DR. ALEXANDER GARIBASHVILY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
200 MILWAUKEE AVE, SUITE 100, BUFFALO GROVE, IL 60089-2812
(847) 850-5377
(847) 850-5378
Mailing address
537 CHARLEMAGNE DR, NORTHBROOK, IL 60062-2109
(847) 850-5377
(847) 850-5378
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036112246
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036112246
—
IL
Enumeration date
08/03/2006
Last updated
09/05/2014
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